| Foothills Endodontic Specialists | |
|
2861 W 120th Ave Ste 230 Westminster CO 80234-2985 | |
| (801) 916-0541 | |
| Not Available |
| Full Name | Foothills Endodontic Specialists |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2861 W 120th Ave Ste 230, Westminster, Colorado |
| Authorized Official Name and Position | Conrad Charles Johnson (MEMBER) |
| Authorized Official Contact | 8019160541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Endodontic Specialists 2396 Saint Thomas St New Orleans LA 70130-2059 Ph: (801) 916-0541 | Foothills Endodontic Specialists 2861 W 120th Ave Ste 230 Westminster CO 80234-2985 Ph: (801) 916-0541 |
| NPI Number | 1124515499 |
|---|---|
| Provider Enumeration Date | 04/21/2018 |
| Last Update Date | 04/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124515499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DEN.00203484 (Colorado) | Primary |
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